Harrison S, Schulz R
Health Serv Manage Res. 1988 Nov;1(3):127-34. doi: 10.1177/095148488800100301.
The Griffiths Report of 1983 recommended a number of reforms to the management of the National Health Service. These were strongly opposed in principle by the British Medical Association though some physicians saw them as potentially beneficial. This paper reports a survey of Psychiatrists in one English Region, whose responses suggest that although there remains little opposition in principle and respondents do see some beneficial effects, the new system tends to be seen in terms of its pragmatic disadvantages, with special reference to a perceived lack of managers' understanding of patients' needs.
1983年的格里菲斯报告对国家医疗服务体系的管理提出了多项改革建议。英国医学协会原则上强烈反对这些建议，不过一些医生认为它们可能有益。本文报告了对英格兰一个地区精神科医生的一项调查，其反馈表明，虽然原则上反对意见仍然很少，而且受访者确实看到了一些有益影响，但新系统往往被视为存在实际弊端，特别是被认为管理者缺乏对患者需求的理解。
